What form(s) does this medication come in?
Tramadol Hydrochloride by Mallinckrodt is available as:
Some medications may have other generic brands available. Always ask your doctor or pharmacist about the safety of switching between brands of the same medication.
How should I use this medication?
For chronic pain, tramadol regular release tablets are usually started at 25 mg taken every morning and increased by 25 mg at a time as separate doses every 3 days to 100 mg daily (25 mg 4 times a day). The dose can then be increased by 50 mg at a time every 3 days to 200 mg daily (50 mg 4 times a day). For immediate pain relief, 50 mg to 100 mg can be taken every 4 to 6 hours as needed. The maximum dose should not exceed 400 mg daily.
Tramadol extended release tablets are usually taken once daily. Tablets should be swallowed whole and not crushed or chewed. The maximum dose should not exceed 300 mg per day.
The amount of medication recommended should be adjusted by your doctor according to the amount of pain present.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Who should NOT take this medication?
Do not take this medication if you:
- are allergic to tramadol or any ingredients of the medication
- are allergic to opioids (narcotic pain relievers, such as codeine or morphine)
- are acutely intoxicated by alcohol, hypnotics, narcotics, centrally acting analgesics, opioids, or psychotropic medications